지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.11
- 수록면
- 326 - 332 (7page)
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초록· 키워드
오류제보하기
Purpose: Laparoscopic cholecystectomy (LC) has become the gold standard of management of gallstone disease. LC is associated with a two-to-four times higher incidence of bile duct injury, which is a rare but more serious complication than open cholecystectomy. We reviewed our experiences with the management of bile duct injury during laparoscopic cholecystectomy.
Methods: From January 1999 to April 2009, 13 patients with bile duct injuries following LC were managed in our hospital. Patients’ charts were retrospectively reviewed to analyze perioperative management.
Results: Among the 13 patients, 7 patients sustained their bile duct injuries at our hospital. Six patients were referred to our hospital to manage their bile duct injuries. Five patients’ injuries were identified during LC. According to the Strasberg classification, there are 5 cases of type A, 2 cases of type C, 1 case of type D and 5 cases of type E injuries. Four type A bile duct injuries were treated by direct ductal ligation during LC and 1 type A bile duct injury and 1 type C bile duct injury were managed by non-surgical treatment. Type D and type E injuries were managed by Roux-en-Y hepaticojejunostomy.
Conclusion: Bile duct injuries are a rare but serious complications that occur during laparoscopic cholecystectomy. Most minor bile duct injuries are well treatable with non-surgical management, whereas major bile duct injuries require surgical management. The combination of non-surgical management and surgical treatment results in successful outcomes in bile duct injuries.
Methods: From January 1999 to April 2009, 13 patients with bile duct injuries following LC were managed in our hospital. Patients’ charts were retrospectively reviewed to analyze perioperative management.
Results: Among the 13 patients, 7 patients sustained their bile duct injuries at our hospital. Six patients were referred to our hospital to manage their bile duct injuries. Five patients’ injuries were identified during LC. According to the Strasberg classification, there are 5 cases of type A, 2 cases of type C, 1 case of type D and 5 cases of type E injuries. Four type A bile duct injuries were treated by direct ductal ligation during LC and 1 type A bile duct injury and 1 type C bile duct injury were managed by non-surgical treatment. Type D and type E injuries were managed by Roux-en-Y hepaticojejunostomy.
Conclusion: Bile duct injuries are a rare but serious complications that occur during laparoscopic cholecystectomy. Most minor bile duct injuries are well treatable with non-surgical management, whereas major bile duct injuries require surgical management. The combination of non-surgical management and surgical treatment results in successful outcomes in bile duct injuries.
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REFERENCES
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Deziel DJ / 1993 / Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases / Am J Surg 165 : 9 ~ 14
2. [학술지(정기간행물)] - Strasberg SM / 1995 / An analysis of the problem of biliary injury during laparoscopic cholecystectomy / J Am Coll Surg 180 : 101 ~ 125
3. [학술지(정기간행물)] - Roslyn JJ / 1993 / Open cholecystectomy. A contemporary analysis of 42,474 patients / Ann Surg 218 : 129 ~ 137
4. [학술지(정기간행물)] - Melton GB / 2002 / Major bile duct injuries associated with laparoscopic cholecystectomy: effect of surgical repair on quality of life / Ann Surg 235 : 888 ~ 895
5. [학술지(정기간행물)] - Boerma D / 2001 / Impaired quality of life 5 years after bile duct injury during laparoscopic cholecystectomy: a prospective analysis / Ann Surg 234 : 750 ~ 757
2. [학술지(정기간행물)] - Strasberg SM / 1995 / An analysis of the problem of biliary injury during laparoscopic cholecystectomy / J Am Coll Surg 180 : 101 ~ 125
3. [학술지(정기간행물)] - Roslyn JJ / 1993 / Open cholecystectomy. A contemporary analysis of 42,474 patients / Ann Surg 218 : 129 ~ 137
4. [학술지(정기간행물)] - Melton GB / 2002 / Major bile duct injuries associated with laparoscopic cholecystectomy: effect of surgical repair on quality of life / Ann Surg 235 : 888 ~ 895
5. [학술지(정기간행물)] - Boerma D / 2001 / Impaired quality of life 5 years after bile duct injury during laparoscopic cholecystectomy: a prospective analysis / Ann Surg 234 : 750 ~ 757
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UCI(KEPA) : I410-ECN-0101-2013-514-002680980